Individual provider Active NPI

Lisa Morris, NP

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1720732175
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31076 Issued in TN
Practice address
1385 S Highland Ave Ste B1
Jackson, TN 38301-7547
Phone
(731) 427-0470
Fax
(731) 427-0995
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31076 TN Primary

Addresses

Primary practice location

1385 S Highland Ave Ste B1
Jackson, TN 38301-7547

Mailing address

119 Veterans Dr N Ste 100
Huntingdon, TN 38344-6203
Phone (731) 535-3383

Other practice location 1

2060 US Highway 64
Whiteville, TN 38075-7476
Phone (731) 254-8999

Other practice location 2

119 Veterans Dr N Ste 100
Huntingdon, TN 38344-6203
Phone (731) 535-3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214001234 TN Practitioner - Nurse Practitioner 5496018681 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1385 S Highland Ave
Suite B1
Jackson, TN 38301-7547
Phone (731) 427-0470

Hospital & facility affiliations

  • Intrepid USA Healthcare Services Home health agency, Jackson, TN, CCN 447565
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 3, 2022 Accepting new patients
South Jackson Medical & Wellness Center LLC CurrentSince Jul 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 3, 2022 Accepting new patients
Primary Care - South Limited CurrentSince Apr 1, 2024 Accepting new patients

Locations

119 Veterans Dr N
Huntingdon, TN 38344
Phone 7315353383 ext. 73153

119 Veterans Dr N
Ste 100
Huntingdon, TN 38344
Phone (731) 535-3383

1385 S Highland Ave
Ste B1
Jackson, TN 38301
Phone (731) 251-3470

1463 S Highland Ave
Ste J
Jackson, TN 38301
Phone (731) 427-5771

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1720732175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VETERANS DR N STE 100",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383446203",
            "telephone_number": "731-535-3383",
            "fax_number": "731-535-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S HIGHLAND AVE STE B1",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017547",
            "telephone_number": "731-427-0470",
            "fax_number": "731-427-0995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2060 US Highway 64",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "TN",
            "postal_code": "380757476",
            "country_code": "US",
            "telephone_number": "731-254-8999",
            "fax_number": "731-254-8997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Veterans Dr N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "TN",
            "postal_code": "383446203",
            "country_code": "US",
            "telephone_number": "731-535-3383",
            "fax_number": "731-535-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.